Classifications

• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
  • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
  • B25J18/00—Arms
  • B25J18/007—Arms the end effector rotating around a fixed point
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
  • A61B34/30—Surgical robots
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
  • A61B34/70—Manipulators specially adapted for use in surgery
  • A61B34/71—Manipulators operated by drive cable mechanisms
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
  • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
  • B25J17/00—Joints
  • B25J17/02—Wrist joints
  • B25J17/0241—One-dimensional joints
  • B25J17/025—One-dimensional joints mounted in series
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
  • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
  • B25J9/00—Program-controlled manipulators
  • B25J9/06—Program-controlled manipulators characterised by multi-articulated arms
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
  • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
  • B25J9/00—Program-controlled manipulators
  • B25J9/10—Program-controlled manipulators characterised by positioning means for manipulator elements
  • B25J9/102—Gears specially adapted therefor, e.g. reduction gears
• • B—PERFORMING OPERATIONS; TRANSPORTING
  • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
  • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
  • B25J9/00—Program-controlled manipulators
  • B25J9/10—Program-controlled manipulators characterised by positioning means for manipulator elements
  • B25J9/104—Program-controlled manipulators characterised by positioning means for manipulator elements with cables, chains or ribbons
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
  • A61B34/30—Surgical robots
  • A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
  • A61B34/70—Manipulators specially adapted for use in surgery
  • A61B34/71—Manipulators operated by drive cable mechanisms
  • A61B2034/715—Cable tensioning mechanisms for removing slack
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
  • A61B90/50—Supports for surgical instruments, e.g. articulated arms
  • A61B2090/506—Supports for surgical instruments, e.g. articulated arms using a parallelogram linkage, e.g. panthograph
• • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
  • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
  • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
  • Y10T74/00—Machine element or mechanism
  • Y10T74/20—Control lever and linkage systems
  • Y10T74/20207—Multiple controlling elements for single controlled element
  • Y10T74/20305—Robotic arm
  • Y10T74/20317—Robotic arm including electric motor
• • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
  • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
  • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
  • Y10T74/00—Machine element or mechanism
  • Y10T74/20—Control lever and linkage systems
  • Y10T74/20207—Multiple controlling elements for single controlled element
  • Y10T74/20305—Robotic arm
  • Y10T74/20323—Robotic arm including flaccid drive element
• • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
  • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
  • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
  • Y10T74/00—Machine element or mechanism
  • Y10T74/20—Control lever and linkage systems
  • Y10T74/20207—Multiple controlling elements for single controlled element
  • Y10T74/20305—Robotic arm
  • Y10T74/20329—Joint between elements

Definitions

• the present invention relates to robotic devices and methods.
• the invention relates to systems and methods for orienting an end-effector about two axes intersecting at a fixed geometric point located distally, materializing a pivot point or a Remote Center of Motion (RCM).
• RCM Remote Center of Motion
• the RCM principle is commonly used in freehand surgical practice. In robotic assisted surgery, several mechanisms implementing the RCM principle have also been developed.
• the present invention is a new type of RCM mechanism
• US Patent No. 4,098,001 to Watson introduced the precursor of the RCM, the Remote Center of Compliance (RCC) principle, which was derived for industrial robot applications of peg-in-hole insertions.
• RCC mechanisms give rotational and translational compliance for the "peg” at the insertion point into the "hole” so that the robot can perform the assembly operation in case of misalignment. Commonly, the motion is restricted to a narrow region and it is passive.
• US Patent No. 4,098,001 describes a passive 3-D n-bar linkage RCC mechanism for part assembly operations. A flurry of inventions by Watson's collaborators (see US Patent Nos.
• TECH/92369.1 guides which is located distal from the mechanism.
• the two directions of rotation are orthogonal.
• the location of the pivot point is locked by the architecture of the mechanism, and the robot could only be operated around an upright initial orientation.
• the RCM point can be defined and mechanically locked by the kinematics of the mechanism, or can be arbitrarily chosen and implemented with a high degrees-of-freedom (DOF) mechanism under coordinated joint control. Almost any high mobility robot can be programmed to perform such a task.
• DOF degrees-of-freedom
• US Patent No. 6,047,610 describes an example. This approach has advantages of pivot flexibility, increased maneuverability, and overall versatility. However, these mechanisms are unsafe for surgical applications. Mechanical RCMs are safer due to their reduced DOF, decoupled motion and locked pivot features.
• daVinci robot Intuitive Surgical, Inc., Mountain View, CA, http://www.intusurg.com/). See US Patent No. 6,246,200.
• This system comprises a bilateral surgical robot and a camera holder performing laparoscopic tasks under direct control of a surgeon located at a command console. Both the robot and the surgeon's console use a version of an RCM mechanism.
• the RCM mechanism is a very elegant, but rather massive version of the original Taylor RCM.
• Intuitive Surgical modified the base linkage of the parallelogram mechanism in order to accommodate the drive- of the additional cable driven DOF.
• daVinci has the same capabilities as Taylor's LARS robot.
• the prior art RCM mechanical devices for use in surgical applications are either goniometer arc systems or are variations on the Taylor design, from the original LARS robot to the newest and highly sophisticated daVinci.
• the prior art devices each have limitations that beg improvement.
• rigid linkage RCM designs have limited range of motion.
• an "uncalibrated" system and method are provided for accurate needle placement without precise camera/imager calibration.
• a robotic module is provided that can be used to orient an end-effector about two axes intersecting at a fixed geometric point located distal to the mechanism materializing a pivot point or a
• RCM Remote Center of Motion
• RCM module will rotate about the RCM point, which can be conveniently located on the end-effector since this point is remote from the robotic module.
• the module presents two rotational degrees-of-freedom (DOF) with coincident axes at the geometric RCM point.
• DOF degrees-of-freedom
• the position of the pivot is adjustable along one axis by modifying the relative angle between the axes. As such, the two rotations are not necessarily orthogonal.
• this new mechanism Unlike all previous RCM mechanisms, which all possess kinematic singularity points, this new mechanism provides unrestricted rotation about both axes with no singularities. This is achieved by using a double belt-drive not previously reported. It also allows the end-effector to rotate about any initial orientation of the mechanism, folded, extended, or midway. The mechanism presents uniform mechanical properties at different orientations. Mechanical and/or electronic means can used to limit and set the desired range of motion.
• the present invention is a new RCM device for performing controlled motion in the form of a robotic module.
• the novelty of this device is that it can attain any rotational orientation without encountering the kinematic singularities that limit the motion of all previously reported mechanisms of rigid linkage RCM designs.
• the module can manipulate various tools/instruments.
• the module can be used standalone or in conjunction with other robotic components for increased DOF. It also provides an RCM motion without any part of the mechanism impinging "over" the center of motion (i.e., without the mechanism interfering with free access from the RCM point along a direction orthogonal to the two rotational axes of the RCM mechanism.
• a remote center of motion robotic system includes a base unit and a plurality of linking units.
• the base unit is rotatable about a first axis.
• the plurality of linking units are coupled with one another. At least two of the plurality of linking units remain parallel to each another throughout motion.
• the plurality of linking units are coupled with the base unit at a first end.
• the plurality of linking units are rotatable about a second axis by changing an angle between each of said plurality of links.
• a remote center of motion robotic system is provided.
• the system includes a base means for rotating about a first axis.
• the system also includes a plurality of linking means for rotating about a second axis by changing an angle between each of the plurality of linking means.
• the plurality of linking means are coupled with the base means at a first end.
• FIGS 1A-1C are diagrams of the robotic module according to an embodiment of the present invention.
• FIGS 2a and 2B are schematic representations of the module in
• Figures 3A and 3B are schematic representations of the module in Figures
• Figure 4 is a schematic of the kinematic principals of the module in
• FIGS. 1A -1C according to an embodiment of the present invention
• Figures 5A and 5B are a frontal view and a cross sectional view of the module in Figures 1A - 1C, according to an embodiment of the present invention
• Figures 6A and 6B are a top view and an aligned cross sectional view of the module in Figures 1A - 1C, according to an embodiment of the present invention
• Figure 7 shows an RCM module under CT guidance according to an embodiment of the present invention.
• Figure 8 shows an RCM module configured for CT-guided prostate brachytherapy, according to an embodiment of the present invention.
• the present invention provides a novel apparatus and method for performing image assisted surgery.
• the invention includes a robotic system or module that can be used to orient an end-effector about two axes intersecting at a fixed geometric point, located distal to the mechanism materializing a pivot point, referred to herein as a Remote Center of Motion (RCM).
• RCM Remote Center of Motion
• a robotic tool such as a needle driver, may be mounted upon an RCM module and configured to rotate about the RCM point, which can be conveniently located on the end-effector since this point is remote from the robotic module.
• the present invention is configured to allow two rotational degrees-of- freedom (DOF) with coincident axes at the geometric RCM point.
• DOF degrees-of- freedom
• the position of the pivot is adjustable along one axis by modifying the relative angle between the axes, referred to herein as the adjustment angle.
• the two rotations are not necessarily orthogonal.
• the present invention provides a double belt-drive configuration that helps achieve unrestricted rotation about both axes with no singularity points.
• the present invention also allows the end-effector to rotate about any initial orientation of the RCM mechanism, including folded, extended, or any orientation in between.
• the present invention is capable of uniform mechanical properties at different orientations. Mechanical and/or electronic means can used to limit and set the desired range of motion.
• FIGS 1A - 1C show an isometric, top, and frontal view, respectively, of an RCM module according to an embodiment of the present invention.
• the module or mechanism 100 includes first, second and third arms (also referred to as links and linking units) 10, 18, and 26, respectively.
• First arm 10 is coupled with a base element 9, which can be secured to a base, such as a fixed support or a forerunner robotic component, through the base shaft 1.
• Third arm 26 is configured to receive a holder/driver 32 that holds an end-effector 33, which can be connected on either side of the output shaft 31 or 34 of arm 26.
• a mounting screw 35 is used which can
• the system 100 is configured to allow two active DOF: a) rotation a about axis x y of the base shaft 1 representing a first pivoting axis; and b) rotation ⁇ about axis y of the parallelogram structure formed by arms 18, 26, and end-effector (32- 33), representing a second pivoting axis y.
• the two axes intersect at the center of the xyz coordinate system, representing the pivot point or RCM point of the mechanism.
• System 100 is configured so that the adjustment angle y between the elements 9 and 10 can be adjusted, and the elements 9 and 10 can be locked in a desired relative orientation.
• the adjustment angle y changes the orientation of the axis x y and shifts the location of the RCM point along the second pivot axis y.
• This angular adjustment design allows for conveniently setting the pivot point to accommodate different end-effectors while maintaining a compact design.
• the second pivoting axis y is materialized by the pseudo-parallelogram mechanism described by the links 18, 26, and the end-effector 33 / holder 32.
• the link 18 may be actuated with respect to link 10, and the link 26 maintains its parallel orientation with respect to link 10.
• the end-effector 33 / holder 32 (which is rigidly
• the two pivot axes have unlimited motion, and the axes are able to continuously spin. This is not necessarily important for performing multiple turns, but is important for allowing different operation modes.
• the initial (zero) position of the mechanism 100 can be set at any angle, especially at any ⁇ angle, and can allow the end-effector to pivot from one side to the other of that zero-set direction in space.
• Figures 2A - 2B and 3A - 3B illustrate two examples respectively.
• Figures 2a - 2b respectively show a frontal view of the module and its top, aligned view together with a special end-effector 33 and holder 32.
• the mechanism 100 is shown as mounted inclined ( ⁇ > 0° ) with respect to the ground in order to raise the mechanism above the RCM point.
• the holder 32 is shown as connected on the outer side 31 of the module.
• An adjustment of the adjustment angle y > 0° is used to shift the RCM point along the y axis and place it at the tip of the end-effector 33.
• the RCM is the pivot point for the x ⁇ & y ⁇ ⁇ > 0 axes.
• Figures 3A - 3B illustrate an example wherein the mechanism is pivoting
• it is possible to construct the holder 32 so that the pivot directions are orthogonal (y 0°) by connecting it on the opposite (inner) side 34 of the module.
• TECH/92369.1 12 90°, 180° ⁇ ), with end-effector 33 mounting on either side of the mechanism.
• the folded and unfolded operation modes exemplified above are two preferred arrangements of initial positions, orientation of the module, holder design, and side mountings showing the large variety of potential architectures and application capabilities.
• FIG. 4 illustrates the kinematic design of the RCM module according to an embodiment of the present invention.
• Six links (1 , 9, 10,18, 26, 31 ) and five revolute joints (2, 8, 17, 22, 30) are shown.
• One of these joints is passive (v adjustment 8) and three other joints (17, 22, 30) are kinematically coupled by belts, so that the mechanism presents only two active DOF (2,17-22-30).
• Module 100 incorporates three main mechanisms: the base adjustment angle, the first pivoting joint of rotation a along the inclined direction x ⁇ , and the pseudo-parallelogram mechanism.
• the base adjustment angle is realized by changing the angle between the elements 9 and 10 of module 100, which are coupled by the joint 8.
• a convex and respectively a concave cylindrical shape can be mated to implement the revolute joint 8, which can be set and locked at the desired orientation.
• the first pivoting joint of rotation a along the inclined direction x ⁇ is implemented by the revolute joint 2 acting between the input shaft 1 and the link 9.
• this joint is activated by a worm transmission 3-4 by mounting worm gear 3 on the input shaft 1.
• the worm transmission may be a Bail- Worm type described in U.S. Provisional Patent Application 60/339,247, entitled “Miniature Ball-Worm Transmission", filed on October 16, 2002, which is incorporated herein by reference.
• a bevel gear transmission 6-7 is used to actuate the worm 4 from the actuator motor 11 of the first axis. These components are arranged so that the adjustment joint 8, the worm 4, and the bevel gear 6 are coaxial. The worm 4 and the bevel gear 6 are rigidly attached to one another and supported by a set of bearings 5 located at the center of convex joint surface of 9. This kinematic chain insures that the motion of the actuator motor 11 is transmitted to the output shaft 1 at any set position y of the adjustment joint 8. In this way the actuator motor 11 could be compactly located in the base link 10, together with the actuator motor 12 of the other pivoting axis.
• the pseudo-parallelogram mechanism is implemented by the remaining components.
• Figure 4 shows the module for a ⁇ - 90° angle of the second pivot axis.
• the parallelogram (more easily observed in the frontal views of Figure 1 C and Figure 3B) is formed between the links 18, 26, and the holder 32 and/or end-effector 33.
• An imaginary line connects the output shaft 31 to the RCM pivot.
• Three joints of this parallelogram are 17, 22, and 30, and the fourth one is imaginary representing the second RCM pivot.
• the parallelogram has equal sides of 100mm.
• the only actuated joint is 17 and the other two are coupled to it through belt-drive mechanisms of 1 :1 non-slip transmission ratios implemented by the two belts 19 and 25 (timing belt, chain, cable chain, cable drive, metallic belts, etc.).
• the revolute joint 17 acting between links 10 and 18 is engaged by the worm mechanism 13-14, actuated by the motor 12 mounted in the link 10, with the worm 13 supported by the set of bearings 15.
• worm mechanism 13-14 is
• An inverted-pulley mounting design can be used to generate the motion of a parallelogram mechanism with two belt-drives rather than a classic four-bar linkage.
• the motor rotates the link 18 with angle ⁇ ; the link 26 stays parallel to the base 10 at any rotation ⁇ ; and the output shaft 31 maintains its orientation (stays parallel) with respect to link 18.
• the gear 14 spins the link 18 and not the pulley 16, which is attached to the base element 10.
• the second pulley 23 of the first belt 19 tensioned by the idler 21 mounted on the bearing 20, maintains its orientation with respect to the base 10.
• a similar inverted-pulley mounting is then employed for the second 26 and third 31 edge of the parallelogram.
• Link 26 is attached through a shaft to the pulley 23, thus remaining parallel to base 10, and the first pulley 24 of the second belt 25 is connected to the previous link 18.
• the idler 21 supported by the bearing 20 tensions the belt 25, coupling the second pulley 29.
• the output shaft 31 which is attached to the pulley 29 maintains its relative orientation with respect to link 18, closing the pseudo- parallelogram mechanism.
• the combined kinematic design implements an adjustable pivot RCM mechanism of non-orthogonal x ⁇ & y ⁇ y > 0 axes at the RCM point, which can operate around any ⁇ angle (folded, normal, extended, inverted, or generally unfolded position), with bilateral end-effector mounting.
• the worm gears 3 and 14 have been machined on their shafts 1 and 35, respectively, as represented in the figure.
• the worm gears have been mounted on the shafts by press fitting and securing with a longitudinal key.
• the bearings used to implement the joints of the kinematic design are labeled with the same number in Figures 5b.
• the shaft 1 is supported by two bearings 2.
• the adjustment joint y of the base angle y between the links 9 and 10 can be easily observed in the cross-section A-A, as well as co-axially with the axis of the worm 4.
• the links 18 and 26 can be covered with thin lids 42 and 43, respectively.
• Figure 5B also depicts the inverted-pulley mounting of the belts 19 and 25.
• the pulley 16 is fixed with respect to the base 10 and the gear 14 engages the link 18.
• the pulley 24 is mounted on link 18, and the pulley 23 engages link 26.
• the belts can be tensioned using idlers 21 and 28 mounted on the bearings 20 and 27 supported by the eccentric shafts 37 and 38, respectively, and locked by the flat head screws.
• the pulley 23 is mounted on a shaft 39 presenting a conic surface mated the shaft 40, which is attached to the link 26.
• the adjustment is performed setting the relative angle between the shafts 39 and 40 and locking it with the screw 41.
• the output shaft presents a symmetric construction so that the end- effector holder can be mounted on the conic surface of either side 31 or side 34 with the screw 35.
• Figure 5B depicts the screw 35 mounted from the side 31 of the shaft 34 for attaching the holder on the side of the shaft 31 (outer side). For mounting on the opposite side (inner side) the screw 35 is reversed, with its head on the side 31 of the shaft.
• Figures 6A and 6B present a top view of the module and an aligned cross section B-B through the center of the adjustment joint.
• Figure 6B depicts the base adjustment arrangement and its bilateral tensioning mechanism, which comprises the plate 46, the dowel pin 47, and the setscrew 48 presenting a tapered point.
• the dowel pin 47 is inserted into the link 9 presenting a radial channel 49 coaxial with the adjustment joint 8. In this way, the pin 47 can sweep the channel adjusting its location so that the tensioning plate 46 maintains a normal direction at the surface of the joint 8.
• the plate 46 is secured at on end into the link 9 by pin 47.
• a hole which is engaged on the conical part of the tapered setscrew 48, which is threaded into link 10. This acts like a wedge between the conical surface of 48 and the hole in plate 46, activated by the setscrew 48.
• Figure 6B also shows the placement of both actuator motors 11 and 12 compactly into the body of link 10, and the motor cover 44 allowing immediate access to the motors. All electric components, motor connectors, and redundant encoder connections, which have been incorporated in the second prototype, are placed in the hollow space of link 10, next to the motors. The wiring cable is released through the hole 45 drilled in the cap 44.
• the RCM module can be a Ball-Worm RCM (BW-RCM), that is, a robotic module for surgical applications that implements a fulcrum point located 100 mm distal to the mechanism.
• BW-RCM Ball-Worm RCM
• the BW-RCM presents a compact design and can be folded into a small structure and can weigh very little (e.g., 175 x 68 x 54 mm structure at only 1.35 Kg).
• the BW-RCM can precisely orient a surgical instrument in space while maintaining the location of one of its points.
• the kinematic architecture of the RCM module of the present invention makes it suitable for minimally invasive applications as well as trocar/needle orientation in percutaneous procedures.
• the RCM module of the present invention can accommodate various end-effectors.
• the RCM may be used in conjunction with the Percutaneous-Access-of-the-Kidney (PAKY) radiolucent needle driver (See 26. Stoianovici D, Cadeddu JA, Demaree RD, Basile HA, Taylor RH, Whitcomb LL, Sharpe WN, Kavoussi LR: An Efficient Needle Injection Technique and Radiological Guidance Method for Percutaneous Procedures. Lecture IVotes in Computer Science, 1997 CVRNIed-MRCAS', Springer-Verlag, 1997; 1205:295-298;
• PAKY Percutaneous-Access-of-the-Kidney
• the system can be used for percutaneous renal access, offering an unquestionable improvement of needle placement accuracy and procedure time while reducing the radiation exposure to patient and urologist .
• the RCM module of the present invention can be used with a special needle driver for computer topography (CT) registration.
• CT computer topography
• the Z-Stage PAKY is a modified version of the PAKY needle driver adapted to implement a CT/MRI registration method in addition to PAKY's needle driving capabilities, constructed in collaboration with the NSF Engineering Research Center for Computer Integrated Surgical Systems and Technology (CISST) at the Johns Hopkins University and the
• the RCM also operates in a folded mode with non-orthogonal axes.
• FIG. 7 shows that under CT guidance, the RCM module of the present invention can be used for kidney and spine percutaneous procedures using a simple method for robot registration in CT and MR imaging system.
• the method uses the laser markers readily available on any CT scanner and does not require imaging thus eliminating radiation exposure.
• the method allows for performing oblique insertions, for which the skin entry point and the target are located in different slices.
• FIG. 8 shows this system configured for CT-guided percutaneous renal access.
• an RCM module which is a compact robotic module capable of orienting an end-effector in two directions in space about a pivot point located distal to the mechanism.
• Applications of the remote pivoting motion include industrial and, most importantly, surgical operations because this type of motion is commonly involved in manual surgical practice.
• the module accommodates various end-effectors and operation modes yielding application flexibility.
• the multiple clinical applications performed with multiple modular arrangements show the versatility of the RCM, its utility and safety for surgical use.

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• Engineering & Computer Science (AREA)
• Robotics (AREA)
• Health & Medical Sciences (AREA)
• Mechanical Engineering (AREA)
• Life Sciences & Earth Sciences (AREA)
• Surgery (AREA)
• Heart & Thoracic Surgery (AREA)
• Biomedical Technology (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Medical Informatics (AREA)
• Molecular Biology (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Manipulator (AREA)

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• 2003
  • 2003-02-06 AU AU2003214837A patent/AU2003214837B2/en not_active Expired
  • 2003-02-06 US US10/359,284 patent/US7021173B2/en not_active Expired - Lifetime
  • 2003-02-06 WO PCT/US2003/001090 patent/WO2003067341A2/en not_active Ceased
  • 2003-02-06 CA CA002475239A patent/CA2475239C/en not_active Expired - Lifetime
  • 2003-02-06 EP EP03710669.7A patent/EP1472579B1/de not_active Expired - Lifetime
  • 2003-02-06 JP JP2003566630A patent/JP2005516786A/ja active Pending
  • 2003-02-06 CN CNB038063514A patent/CN100349705C/zh not_active Expired - Lifetime

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